Urinary diversion in the genitourinary cancer survivor.

Urinary diversion has been in the scope of practice of Gynecologic Oncologists since the inception of the sub-specialty. However, many fewer urinary diversions are performed currently than in the past due to improved prevention of cervical cancer. The intent of this article is to provide a state of the art review for Gynecologic Oncologists. Surgeons performing these complex procedures must be knowledgeable about the differences between various types of continent and non-continent urinary diversions, and the principles of pre and post-operative care. This includes the indications for surgery and pre-operative considerations, types of urinary diversion including continent and non-continent diversions, and the need for long-term follow-up with patients who undergo urinary diversion requiring lifelong follow up and testing for surveillance of the upper urinary tracts and to monitor for nutritional and metabolic alterations.

Duke Scholars

Author Andrew Berchuck Obstetrics and Gynecology, Gynecologic Oncology

Author Angeles Alvarez Secord Obstetrics and Gynecology, Gynecologic Oncology

Author Andrew Charles Peterson Urology